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Affect Health and Aging
are various substances secreted by glands into the bloodstream
which alter the activity and sometimes the structure of organs
and tissues, thereby affecting health and well-being. Even
before birth, hormones control many bodily processes. Growth
hormones stimulate growth and development in children; sex hormones
trigger sexual development in teens; and declines in certain hormones
with age lessen muscle mass and reduce time spent sleeping.
At any age, over-production or under-production of these hormones
may adversely affect our health.
Hormone secreting glands include the sex glands (ovary and testis),
the adrenal glands, the pancreas, the thyroid, and the pituitary,
the "master gland." Hormones are also made in your brain;
these hormones affect your mood, psychological status, and energy
level and also regulate the pituitary gland. Furthermore,
different glands make more than one hormone. For example the thyroid
makes both T4 and T3, and the ovaries make different types of
estrogens, estrone (E1), estradiol (E2) and estriol (E3).
Glands and the hormones they produce are listed in this Table
Replacement Should be Tailored for Each Patient
bodies have many regulatory mechanisms that keep these hormones
at levels that are optimal for each of us. For example,
Beth may feel optimal when her thyroid level, T4, is 10 units,
while Sue functions optimally with a thyroid level of 6.
If Beth has something slightly wrong with her thyroid and her
T4 drops to 8 (still in the "normal" range),she may feel tired
and depressed, and gain weight. Her body will compensate
by increasing her thyroid stimulating hormone, TSH. But
even with this compensation, Beth will not feel optimal until
she is given the correct thyroid hormone replacement. By
contrast, if Sue suffers an illness that elevates her thyroid
hormone level from 6 to 9 (still in the "normal" range),she may
suffer unwanted weight loss and anxiety.
What Are Symptoms of Hormone Imbalance?
concurrent illness, medicine intake and stress all can subtly
alter hormonal levels. The most common symptom of altered
hormonal levels is fatigue. Other symptoms include weight
gain in spite of dieting, sleep disturbances, loss of memory,
poor immunity, dizziness on standing, decreased interest in sex,
carbohydrate cravings and depression (see the Table).
Many doctors dismiss these symptoms as mere signs of aging or
stress; however, Dr. Friedman's 25 years of Endocrinology research
has shown that many of these symptoms are due to hormonal imbalances,
which can improve with proper replacement.
See a Doctor who Specializes in Endocrinology?
replacement is complex and replacing one hormone will alter the
replacement of other hormones. Therefore, hormonal replacement
needs to be total and carefully monitored. For example,
oral estrogen replacement(pills) blocks the action of growth hormone
and leads to growth hormone deficiency. Transdermal estrogen
replacement (a patch) does not do this.
Similarly, it was previously (and incorrectly) assumed that all
patients should get only one type of thyroid hormone, T4.
But now we know that some patients require both T3 and T4 for
optimal health. Also, most patients receiving estrogen replacement
receive a form of estrogen extracted from the urine of pregnant
horses which stimulates the breast cancer forming estrone(E1).
Dr. Friedman prefers using sophisticated laboratory tests to determine
which hormone is correct for you, the patient. He will then
prescribe either pills or patches containing the more beneficial
hormone,estradiol, or in some cases, natural forms of estrogen.
Friedman's Approach to Hormone Treatment
Friedman is expertly trained to ask the right questions during
your interview. After taking a thorough history, he will
order the appropriate laboratory tests and carefully interpret
them. You will then be started on an individualized hormonal
replacement and be carefully monitored. Dr. Friedman also will
design an individualized exercise and diet regimen to complement
your hormonal replacement.
Dr. Friedman also works closely with, and gives referrals to,
the following specialists:
This comprehensive approach is designed to having you feel the
best you can!
Copyright 2001, GoodHormoneHealth.com.
All rights reserved.
Friedman's website does not offer medical advice.These materials are offered
for information purposes only. Do not act or rely upon information from
goodhormonehealth.com without seeking professional medical advice. Additionally,
the transmission of information from the website, goodhormonehealth.com
to you, is not intended to create nor does create a physician-patient relationship
between you and Dr. Friedman.